Bannerman Pet Care

1580 Bannerman Road, Unit #5, Tallahassee, Fl 32312

Phone: (850)893-2043   Fax: (850)893-2012

Boarding Release Form

 

Owner’s Name:­­________________________________________________________________________

 

Pet’s Name(s):­_________________________________________________________________________

 

Drop-off date:­­­­­­­­­­_____________________________     Pick-up date:­________________________________

 

Person to pick up pet (if not the owner):­_____________________________________________________

 

Emergency Contact Number:­______________________________________________________________

 

 

Pet Instructions

Did you bring your pet’s food?   Yes □ No □

When do you feed your pet?      AM □ Lunchtime □   PM □

How much do you feed your pet? __________________________________________________________

Did you bring any personal items with your pet (blanket, toys, treats, etc)?   Yes □  No □

If so, please describe them: _______________________________________________________________

____________________________________________________________________________________

Is your pet on any medications?   Yes □  No □   Medications:______________________________________

When are the meds given?   AM □  Lunchtime □  PM □   As needed □  4 times a day □

Has your pet received any meds today?   Yes □   No □

Does your pet have any special needs or instructions? ____________________________________________

 

A Capstar will be automatically administered to your pet at the end of his/her stay to kill any fleas that he/she

may have brought in or picked up while here. This is included in the cost of boarding.

 

Would you like any “extras” to pamper your pet during their stay?

For dogs boarding more than 3 nights, baths are offered at half price!

Bath □   Medicated Bath □   Nail Trim □   Express Anal Glands □ Grooming □   Ear Cleaning □   Vaccinations □

**Additional charges will be incurred for these services. Our receptionist will be glad to provide estimates for these procedures.

 

I authorize the doctors and staff at Bannerman Pet Care, in the event of an emergency, to provide medical treatment for my pet

while in their care. I understand that the staff will do their best to contact me and inform me if any additional medical services are

required. I also assume financial responsibility for all charges incurred, and agree to pay all such charges at the time of release of the pet.

 

Signature: ______________________________________________  Date:_________________________

 

*Staff Only* Date/location of last vaccines:­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­____________________________________________________

  Staff Initials:_______________________